Persistent dizziness and nausea in patients receiving postoperative epidural pain control after living donor liver transplantation: case reports.
Dizziness and nausea are frequent problems among patients receiving patient-controlled epidural analgesia (PCEA) after major surgery. It is important to consider the various etiologies that might cause these adverse events, especially among patients who have undergone massive hepatic resection for living donor liver transplantation (LDLT). We have described 2 LDLT cases with persistent dizziness and nausea postoperatively despite several adjustments in PCEA management. Their symptoms were quickly relieved after suspension of PCEA medication. Our 2 cases of LDLT represented a unique setting for this type of complication.
Liu
Y C
YC
Department of Anesthesia, Pain Service and Critical Care Medicine, China Medical University Hospital, Taichung, Taiwan.
Poon
K S
KS
Wu
R S C
RS
Lee
C C
CC
Jeng
L B
LB
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016058:Analgesia, Patient-Controlled / Q000009:adverse effects; D004244:Dizziness / Q000453:epidemiology*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors; D008297:Male; D009325:Nausea / Q000453:epidemiology*; D010149:Postoperative Pain / Q000188:drug therapy / Q000503:physiopathology*